Discovering Authentic Living, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DISCOVERING AUTHENTIC LIVING, LLC

Practice address

6317 S Bend LN
Charlotte, NC 28277-4659

Phone

(704) 814-9850

Fax

(704) 523-6050

NPI assigned

Apr 14, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deborah A Leighton, MSW, LCSW, LCASNPI 1427185909

Title

Therapist/Member-Managed LLC

Phone

(704) 814-9850

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Deborah A Leighton Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah A Leighton, LCSW, LCAS

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1427185909
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1447540158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 S BEND LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774659",
            "telephone_number": "704-814-9850",
            "fax_number": "704-523-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 S BEND LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774659",
            "telephone_number": "704-814-9850",
            "fax_number": "704-523-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERING AUTHENTIC LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "LEIGHTON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST/MEMBER-MANAGED LLC",
        "authorized_official_telephone_number": "704-814-9850",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12169428",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "PTAN  2853487",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003191",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deborah A Leighton",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Kristyn Yemm Disogra
• Hollace Marie Disser, M.D.
• Katherine Mary Distefano, NP

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.